HEMODIALYSIS

& PERITONEAL
DIALYSIS
By
DR.EMAN SOBHY & DR.JAKLEIN
REFAAT
 OBJECTIVES
1.introduction and definition ofdialysis
2.definition of hemodialysis and peritoneal dialysis
3.nursing management of
hemodialysis and peritoneal ( before,during, after)
4.risk and complications of hemodialysis and
peritoneal
 INTRODUCTION
Dialysis is a treatment for
people whose
kidneys are failing. When you
have kidney
failure, your kidneys don't
filter blood the
way they should. As a result,
wastes and
toxins build up in your
bloodstream
 WHAT IS
TYPES OF
DIALYSIS? HEMODIALYSIS

peritoneal
dialysis
 HEMODIALYSIS
DEFINITION
a machine removes
blood from your body, filters it through a
dialyzer (artificial kidney) and returns the
cleaned blood to your body. This 3-to 5-
hour process may take place in a hospital or
a dialysis center three times a week
 RISKS ASSOCIATED WITH
HEMODIALYSIS

1. low blood 4. difficulty sleeping

pressure 6. BACTEREMIA, OR A
BLOODSTREAM
2. anemia, or not having INFECTION
5. irregular heartbeat
enough red blood
cells 7. sudden cardiac
3. muscle cramping death
PERITONEAL With peritoneal dialysis, tiny
blood vessels inside the
DIALYSIS abdominal lining (peritoneum)
filter blood through the aid of a

dialysis solution. This solution is
a type of cleansing liquid that
contains water, salt and other
additives
 WHAT ARE THE POTENTIAL RISKS OR
COMPLICATIONS OF PERITONEAL DIALYSIS?

Some people develop skin infections around the

catheter. You’re also at risk for peritonitis, an
infection that occurs when bacteria get inside the
abdomen through the catheter. You may experience
fever, abdominal pain, nausea and vomiting.
PEOPOLE WHO AT RISK
OF DIALYSIS
1. DIABETES
2. High blood pressure (hypertension)
3. Kidney inflammation (glomerulonephritis)
4. Kidney cysts (polycystic kidney disease)
5. Inherited kidney diseases
6. Long-term use of nonsteroidal anti-inflammatory
drugs or other medications that could harm the Kidney
NURSING MANAGEMENT OF
HEMODIALYSIS AND
PERITONEAL
Before dialysis During dialysis After dialysis
Take the Vital signs Promote patient comfort Check for any blood works or
during the procedure medicines to be given before
1. BP - standing, sitting
Maintain good outflow of terminating dialysis
2. Cardiac rate and rhythm
blood
3. Pulse rate Upon removal of fistula needle
Monitor changes in fluid
4. Respiratory rate apply pressure dressing using
and electrolyte status,
5. Temperature sterile gauze and wait until the
weight changes
puncture site has clotted.
mechanism of hemodialysis and
peritoneal dialysis
The Summary ofpresentation

dialysis keeps your body in balance

byr emoving waste, salt and extra
water to prevent them from building
up in the body. keeping a safe level of
certain chemicals in your blood, such
as potassium, sodium and
bicarbonate. helping to control blood
pressure hemodialysis is ideal for patients with
less kidney function. Peritoneal
dialysis is not a good option for obese
patients or people who have
abdominal scarring
Thanks!
Any questions? Don't hesitate to
ask for our help
made by student
Hanaa alnhas
Roaa khateeb
 reference
https://www.mayoclinic.org/tests-procedures/hemodialysis/about/pac-
20384824
https://my.clevelandclinic.org/health/treatments/14618-dialysis

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